go back

Pennsylvania rates for HCPCS C1719

Brachytherapy source, nonstranded, nonhigh dose rate iridium-192, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.76 / $45.76 / $58.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.76 / $45.76 / $48.17
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,249.62 / $38,249.62 / $38,249.62
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.76 / $45.76 / $58.12
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.76 / $45.76 / $58.12